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General NPI Number Information
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NPI Number | 1023279395
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Entity Type | Individual
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Provider Name | BRYAN PARKER ROWE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 1 ELLIOT WAY
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City | MANCHESTER
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State | NH
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Zip | 03103-3502
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Country | US
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Telephone | 603-663-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 33 RIVER FRONT DR UNIT #10
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City | MANCHESTER
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State | NH
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Zip | 03102-3209
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Country | US
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Telephone | 917-658-5231
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 00000000000
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 15594
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License Number State | NH
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